Whitlock Janis, Muehlenkamp Jennifer, Eckenrode John
Family Life Development Center and Department of Human Development, Cornell University, Ithaca, NY 14853, USA.
J Clin Child Adolesc Psychol. 2008 Oct;37(4):725-35. doi: 10.1080/15374410802359734.
Prior studies of nonsuicidal self-injury (NSSI) suggest the existence of multiple NSSI typologies. Using data from 2,101 university students, this study employed latent class analysis to investigate NSSI typologies. Results show a good fitting 3-class solution with distinct quantitative and qualitative differences. Class 1 was composed largely of women using 1 form to engage in superficial tissue damage with moderate (< 11) lifetime incidents. Class 2 was composed predominately of men using 1 to 3 forms to engage in self-battery and light tissue damage, with low (2-10) lifetime incidents. Class 3 was composed largely of women using more than 3 self-injury forms and engaging in behaviors with the potential for a high degree of tissue damage with moderate to high numbers of lifetime incidents. All 3 classes were at elevated risk for adverse conditions when compared to no-NSSI respondents. We conclude that NSSI typologies exist and may warrant differential clinical assessment and treatment.
先前关于非自杀性自伤(NSSI)的研究表明存在多种NSSI类型。本研究利用2101名大学生的数据,采用潜在类别分析来探究NSSI类型。结果显示,有一个拟合良好的三类解决方案,在数量和质量上存在明显差异。第1类主要由女性组成,她们使用1种方式进行浅表组织损伤,终生发生次数中等(<11次)。第2类主要由男性组成,他们使用1至3种方式进行自我殴打和轻度组织损伤,终生发生次数较低(2 - 10次)。第3类主要由女性组成,她们使用超过3种自伤方式,从事有潜在高度组织损伤可能性的行为,终生发生次数为中等至高等。与无NSSI的受访者相比,所有这3类人群出现不良状况的风险均有所升高。我们得出结论,NSSI类型是存在的,可能需要进行不同的临床评估和治疗。